Especially written for qualified nurses working in intensive care units, this comprehensive text has been developed to be as accessible as possible. This fourth edition has been revised throughout to ensure the evidence base is completely up to date and the content reflects contemporary best practice. Intensive Care Nursing is structured in user-friendly sections. The chapters contain sections outlining the "fundamental knowledge" needed to understand key chapters, "implications for practice" boxes, further reading and resources overviews, "time out" sections for revision and clinical scenarios with questions included. Reviewed throughout by experienced practitioners and teachers, it covers: patient-focused issues of bedside nursing; the technical knowledge necessary to care safely for ICU patients; the more common and specialised disease processes and treatments encountered; how nurses can use their knowledge and skills to develop their own and others' practice. Written by a practice development nurse with a strong clinical background in intensive care nursing and experience of teaching nursing, Intensive Care Nursing is essential reading for nurses and health professionals working with seriously ill patients, particularly those undertaking post-registration training in the area. Cover Half Title Title Copyright Contents List of figure List of tables Preface Acknowledgements List of abbreviations Part I Contexts of care 1 Nursing perspectives 2 Humanism 3 Psychological care Part II Fundamental 4 Artificial ventilation 5 Airway management 6 Sedation 7 Acute pain management 8 Thermoregulation 9 Nutrition and bowel care 10 Mouthcare 11 Eyecare 12 Tissue viability 13 Children in adult ICUs 14 Older patients in ICU 15 Infection prevention and control 16 Pandemic planning Part III Monitoring 17 Respiratory monitoring 18 Gas carriage 19 Blood gas interpretation 20 Haemodynamic monitoring 21 Blood results 22 ECGs and dysrhythmias 23 Neurological monitoring Part IV Micropathologies 24 Cellular pathology 25 Immunity and immunodeficiency 26 Haemostasis Part V Respiratory 27 Acute Respiratory Distress Syndrome (ARDS) 28 Alternative ventilation Part VI Cardiovascular 29 Acute coronary syndromes 30 Cardiac surgery and interventions 31 Shock 32 Sepsis 33 Fluid management 34 Inotropes and vasopressors 35 Vascular surgery Part VII Neurological 36 Central nervous system injury 37 Peripheral neurological pathologies Part VIII Abdominal 38 Acute kidney injury 39 Haemofiltration 40 Gastrointestinal bleeds 41 Liver failure 42 Obstetric admissions to ICU 43 Organ donation Part IX Metabolic 44 Severe acute pancreatitis 45 Diabetic crises 46 Self-poisoning Part X Professional 47 Transferring critically ill patients 48 Professional perspectives 49 Managing the ICU 50 Costs of intensive care Glossary References Index pt. I. Contexts of care : Nursing perspective ; Humanism ; Psychological care pt. II. Fundamental aspects : Artificial ventilation ; Airway management ; Sedation ; Acute pain management ; Thermoregulation ; Nutrition and bowel care ; Mouthcare ; Eye care ; Skincare ; Children in adult ICUs ; Older patients in ICUs ; Infection control ; Pandemic planning pt. III. Monitoring : Respiratory monitoring ; Gas carriage ; Arterial blood gas analysis and acid/base balance ; Haemodynamic monitoring ; Blood results ; ECGs and dysrhythmias ; Neurological monitoring pt. IV. Micropathologies : Cellular pathology ; Immunity and immunodeficiency ; Disseminated intravascular coagulation (DIC) pt. V. Respiratory : Acute respiratory distress syndrome (ARDS) ; Alternative ventilatory modes pt. VI. Cardiovascular : Acute coronary syndromes ; Cardiac intervention and surgery ; Shock ; Sepsis ; Fluid management ; Inotropes and vasopressors ; Vascular surgery pt. VII. Neurological : Central nervous system injury ; Peripheral neurological pathologies pt. VIII. Abdominal : Acute kidney injury ; Haemofiltration ; Gastrointestinal bleeds ; Liver failure ; Obstetric emergencies ; Transplants pt. IX. Metabolic : Severe acute pancreatitis ; Diabetic crises ; Self-poisoning pt. X. Professional : Professional perspectives ; Transferring critically ill patients ; Managing the ICU ; Cost of intensive care. Especially written for qualified nurses working in intensive care nursing units, this third edition has been developed to be as accessible as possible. Including new chapters on planning for pandemics and transferring patients, it has been revised throughout to ensure the evidence-base is completely up-to-date and the content reflects contemporary best practice This thoroughly updated text covers patient-focused issues; the technical knowledge necessary to care safely for ICU patients; the more common and specialized disease processes and treatments encountered; and how nurses can use their knowledge and skills to develop practice. It is essential reading for nurses working with seriously ill patients. This user-friendly introductory textbook is written specifically for both qualified nurses who are working in intensive care units and also for those undertaking post-registration courses in the speciality.